Healthcare Provider Details

I. General information

NPI: 1649763590
Provider Name (Legal Business Name): SEN SEN LIU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2018
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4030 LAKE WASHINGTON BLVD NE STE 303
KIRKLAND WA
98033-7870
US

IV. Provider business mailing address

4030 LAKE WASHINGTON BLVD NE STE 303
KIRKLAND WA
98033-7870
US

V. Phone/Fax

Practice location:
  • Phone: 425-409-6414
  • Fax:
Mailing address:
  • Phone: 425-409-6414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMT216158
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA176279
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD61600229
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: